Aortic aneurysm hana hou - endovascular - hoʻokuʻu

Hoʻoponopono ka endeur aortic aneurysm (AAA) i kahi ʻoki e hoʻoponopono hou i kahi ākea i kāu aorta. Kapa ʻia kēia he aneurysm. ʻO ke aorta ka aʻa nui e hāpai i ke koko i kou ʻōpū, pelvis, a me kou mau wāwae.

Loaʻa iā ʻoe kahi hana ʻoki kino endovascular no kahi aneurysm (kahi ākea) o ke aʻa nui e hāpai i ke koko i kou kino haʻahaʻa (aorta).

E hana i ke kaʻina hana:

• Ua hana kahi kauka i kahi ʻoki liʻiliʻi (ʻokiʻoki) kokoke i kou pūhaka e loaʻa ai kāu aʻa wahine.
• Hoʻokomo ʻia kahi paipu nui i loko o ke aʻa e hiki ai ke hoʻokomo ʻia i nā mea hana ʻē aʻe.
• Hoʻokomo ʻia kahi ʻokiʻoki i loko o ka ʻūlū ʻē aʻe a me ka lima.
• Ua hoʻokomo kāu kauka i kahi stent a me kahi kanaka i hana ʻia (synthetic) graft ma o ka ʻoki i loko o ke aʻa.
• Hoʻohana ʻia nā kukuna X e alakaʻi i ka stent a hoʻopili i kāu aorta kahi o ka aneurysm.
• Ua wehe ʻia ke graft a me ka stent a hoʻopili ʻia i nā paia o ke aorta.

ʻEhaʻeha paha ke ʻoki o kou ʻūlū no kekahi mau lā. Hiki iā ʻoe ke hele wāwae i kēia manawa me ka ʻole o ka hoʻomaha. Akā ʻoe e maʻalahi ma ka mua. He 6 a 8 paha mau pule e ola hou ai. Hiki paha iā ʻoe ke hōʻoluʻolu i kou ʻōpū no kekahi mau lā. Loaʻa paha iā ʻoe ka lilo o ka makemake. Eʻoi aku ka maikaʻi o kēia i ka pule aʻe. Loaʻa paha ʻoe i ka constipation a i ʻole ka diarrhea no kekahi manawa pōkole.

Pono ʻoe e hoʻonui i kāu hana i ka wā e hoʻōla ai ka ʻoki.

• Ke hele nei i kahi mamao ma kahi pālahalaha ka OK. E hoʻāʻo e hele wāwae iki, 3 a i ʻole 4 manawa i ka lā. E hoʻonui mālie i kou hele wāwae i kēlā me kēia manawa.
• Ka palena i ka piʻi a i lalo o nā alapiʻi ma kahi o 2 manawa i ka lā no nā 2 a 3 mau lā ma hope o ke kaʻina hana.
• Mai hana i ka hana i ka pā, hoʻokele, a pāʻani paha i nā haʻuki no 2 mau lā, a i ʻole no nā lā o kāu luna mālama ola e ʻōlelo ai iā ʻoe e kali.
• Mai hāpai i kekahi mea ʻoi aku ke kaumaha ma mua o 10 paona (4.5 kg) no 2 mau pule ma hope o ke kaʻina hana.

• E haʻi aku kāu mea hāʻawi iā ʻoe i ka manawa hea e hoʻololi ai i kou kapa.
• Inā hoʻokahe ke koko a hū paha ʻoe, moe i lalo a hoʻokau iā ia no 30 mau minuke, a kāhea i kāu mea hāʻawi.

Ke hoʻomaha ʻoe, e hoʻāʻo e hāpai i kou mau wāwae i luna o ka pae o kou puʻuwai. E kau i nā uluna a i nā kapa moe paha ma lalo o kou mau wāwae e hāpai iā lākou.

E noi i kāu mea hāʻawi e pili ana i nā x-ray ukali e pono ai ʻoe e nānā inā maikaʻi kāu pili hou. ʻO ka loaʻa ʻana o nā loiloi maʻamau e hōʻoia i ka hana maikaʻi ʻana o kāu graft kahi ʻāpana nui ia o kāu mālama.

E noi paha kāu mea lawelawe iā ʻoe e ʻai i ka aspirin a i ʻole kekahi lāʻau ʻē aʻe i kapa ʻia ʻo clopidogrel (Plavix) ke hoʻi ʻoe i ka home. ʻO kēia mau lāʻau he antiplatelet agents. Pale lākou i nā platelet i loko o kou koko mai ka ʻūlū pū ʻana a hana i nā clots i loko o kou mau aʻa a i ʻole stent. Mai hōʻoki i ka lawe ʻana iā lākou me ke kamaʻilio ʻole ʻole ʻole me kāu mea hāʻawi.

ʻAʻole hoʻōla ke kīpoki endovirus i ka pilikia ma lalo o kou kīʻaha koko. Hiki ke hoʻopili ʻia nā kīʻaha koko ʻē aʻe i ka wā e hiki mai ana. No laila, he mea nui e hoʻololi i ka nohona a lawe i nā lāʻau i koi ʻia e kāu mea lawelawe.

• ʻAi i kahi papaʻai olakino puʻuwai.
• E kiʻi i ka hoʻoikaika kino maʻamau.
• Kāohi i ka puhi ʻana (inā puhi ʻoe).

E lawe i nā lāʻau āpau a kāu kauka i kuhikuhi ai e like me ke kuhikuhi. Pākuʻi paha kēia i nā lāʻau e hoʻohaʻahaʻa i ka kolesterol, mālama i ke koko kiʻekiʻe, a mālama i ka maʻi kō.

Kāhea i kāu mea hāʻawi inā:

• He ʻeha kou i kou ʻōpū a hoʻi i hope ʻole e hele a maikaʻi ʻole paha.
• Aia ke kahe ʻana o ke kahe ma ka pūnaewele hoʻokomo catheter i kū ʻole ke kau ʻia kaomi.
• Aia ka ʻōhū ma ka paepae catheter.
• ʻO kou wāwae a lima paha ma lalo kahi i hoʻokomo ʻia ai ka catheter e hoʻololi ai i ke kala, a lilo i mea hōʻoluʻolu i ka hoʻopā, pale, a me ka numb.
• ʻO ka ʻokiʻoki liʻiliʻi no kāu catheter i ʻulaʻula a ʻeha paha.
• Ke kahe nei ka hoʻokuʻu melemele a ʻōmaʻomaʻo paha mai ka ʻoki o kāu catheter.
• Pehu kou mau wāwae.
• Loaʻa iā ʻoe ka ʻeha o ka umauma a i ʻole ka liʻiliʻi o ka hanu e hele ʻole me ka hoʻomaha.
• Ua luhi a maule paha ʻoe, a ua luhi loa ʻoe.
• Ke ʻeha nei ʻoe i ke koko, a i ʻole ka melemele melemele a ʻōmaʻomaʻo paha.
• Loaʻa iā ʻoe ke anuanu a i ʻole he kuni ma luna o 101 ° F (38.3 ° C).
• Loaʻa kou koko i kāu pahu.
• Eʻeleʻele i kou mimi a ʻaʻole ʻoe e mimi e like me ka mau.
• ʻAʻole hiki iā ʻoe ke neʻe i kou mau wāwae.
• Hoʻomaka ka ʻōpū o kou ʻōpū a ʻeha hoʻi.

Hoʻoponopono AAA - endovascular - hoʻokuʻu; Hoʻoponopono - aneurysm aortic - endotherapy - hoʻokuʻu; EVAR - hoʻokuʻu; Hoʻoponopono endurene aneʻi - hoʻokuʻu

• Aneurysm ʻaʻano

ʻO Binster CJ, Sternbergh WC. Nā hana hoʻoponopono aneurysm endovirus. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 73.

Braverman AC, Schermerhorn M. Nā maʻi o ke aorta. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 63.

ʻO Cambria RP, Prushik SG. Hoʻomaʻamaʻa endovascular o nā aneurysms aorta ʻōpū. I: Cameron AM, Cameron JL, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 13th ed. Piladelapia, PA: Elsevier; 2020: 905-911.

ʻO Tracci MC, Cherry KJ. ʻO ke aorta. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 61.

Uberoi R, Hadi M. Aortic interven. I: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. ʻO Grainger & Allison's Diagnostic Radiology: He puke aʻo ʻike kiʻi. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 79.

• Aneurysm aorta ʻōpū
• Scanner CT ʻōpū
• Scanner MRI ʻōpū
• Aortic aneurysm hana hou - endotherapy
• Angiography ʻaʻano
• Atherosclerosis
• Pilikia o ka paka
• Stent
• Anorysm aortic ʻaʻano
• Nā ʻōlelo aʻoaʻo pehea e haʻalele ai i ka puhipaka

• ʻO Cholesterol a me ka nohona
• Cholesterol - lāʻau lapaʻau
• Ke kaohi nei i kou kiʻekiʻe o ke koko

• ʻAortic Aneurysm